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State Contacts for Civil Money Penalty Reinvestment

State Contacts for Civil Money Penalty Reinvestment State State contact Alabama Alabama Department of Public Health Division of Health Care Facilities RSA Tower 201 Monroe Street, Suite 700. Montgomery, AL. 36130-301. Phone: (334) 206-5709. Email: Alaska Health Facilities Licensing & Certification 4501 Business Park Blvd, Building L, Suite 24. Anchorage, Alaska 99503. Email: Attention: CMP Reinvestment Program Alaska CMP Website Arizona Arizona Dept. of Health Services 150 N. 18th Avenue, Suite 440. Phoenix, AZ 85007. Phone: (602) 364-2690. Arizona CMP Website Arkansas Arkansas Department of Health and Human Services Office of Long Term Care DHS Program Administrator 700 Main Street Little Rock, AR 72203. Email: California California Department of Public Health 1616 Capitol Avenue, MS 3202.

ALCMP@adph.state.al.us Alaska Health Facilities Licensing & Certification 4501 Business Park Blvd, Building L, Suite 24 Anchorage, Alaska 99503 Email: dhcs.hflc@alaska.gov; Attention: CMP Reinvestment Program Arizona Arizona Dept. of Health Services 150 N. 18th Avenue, Suite 440 : Phoenix, AZ 85007 ; Email: LTC.licensing@azdhs.gov

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Transcription of State Contacts for Civil Money Penalty Reinvestment

1 State Contacts for Civil Money Penalty Reinvestment State State contact Alabama Alabama Department of Public Health Division of Health Care Facilities RSA Tower 201 Monroe Street, Suite 700. Montgomery, AL. 36130-301. Phone: (334) 206-5709. Email: Alaska Health Facilities Licensing & Certification 4501 Business Park Blvd, Building L, Suite 24. Anchorage, Alaska 99503. Email: Attention: CMP Reinvestment Program Alaska CMP Website Arizona Arizona Dept. of Health Services 150 N. 18th Avenue, Suite 440. Phoenix, AZ 85007. Phone: (602) 364-2690. Arizona CMP Website Arkansas Arkansas Department of Health and Human Services Office of Long Term Care DHS Program Administrator 700 Main Street Little Rock, AR 72203. Email: California California Department of Public Health 1616 Capitol Avenue, MS 3202.

2 Box 997434. Sacramento, CA 95899. Email: California CMP Website Colorado Colorado Department of Public Health and Environment Health Facilities and Emergency Medical Services Division 4300 Cherry Creek Drive South, Building A, Floor 2. Denver, CO 80246-1530. Email: Last updated May 2022 Page 1. State State contact Connecticut Barbara S. Cass Branch Chief Healthcare Quality and Safety Branch State of Connecticut, Department of Public Health 410 Capitol Avenue Hartford, CT 06134-0308. Phone: (860) 509-7609. Email: Donna Ortelle Section Chief, Healthcare Quality and Safety - DPH. 410 Capitol Avenue, #12 HSR, Box 340308. Hartford, CT 06134-0308. Phone: (860) 509-7520. Email: Delaware Abigail Brady Project Coordinator for CMP Requests Division of Health Care Quality Newark Office - Cambridge Building 263 Chapman Road, Suite 200.

3 Newark, DE 19702. Phone: (302) 421-7420. Robert Smith Licensing and Certification Delaware Health and Social Services Division of Healthcare Quality 3 Mill Road Suite 308. Wilmington, DE 19806. Phone: (302) 421-7448. Email: Delaware CMP Website District of Columbia Sharon Lewis Senior Deputy Director Health Regulation and Licensing Administration 899 North Capitol Street NE, 2nd Floor Washington, 20002. Phone: (202) 442-4737. Email: Ranada Cooper Program Manager Health Care Facilities Division 899 North Capitol Street NE, 2nd Floor Washington, 20002. Phone: (202) 683-7267. Last updated May 2022 Page 2. State State contact Florida Agency for Health Care Administration 2727 Mahan Drive, MS 59. Tallahassee, FL 32308. Email: Florida CMP Website Georgia Georgia Department of Community Health Healthcare Facility Regulation Division 2 Peachtree Street, NW, Suite Atlanta, GA 30303.

4 Email: Hawaii Hawaii State Dept. of Health Office of Health Care Assurance 601 Kamokila Blvd, Room 337. Kapolei, HI 96707. Phone: (808) 692-7420. Email: Hawaii CMP Website Idaho Bureau of Facility Standards 3232 W. Elder St. Boise, ID 83705. E-mail: Attention: CMP Reinvestment Program Idaho CMP Website Illinois Office of Health Care Regulation, Bureau of Long Term Care Illinois Department of Public Health 525 West Jefferson, 5th Floor Springfield, IL 62761. Phone: (217) 782-5180. Email: Indiana Health Care Quality and Regulatory Commission Indiana State Department of Health 2 North Meridian, Selig 4th Floor Indianapolis, IN 46204. Email: Last updated May 2022 Page 3. State State contact Iowa Iowa Medicaid Enterprise Department of Human Services Hoover State Office Building 1305 East Walnut Street Des Moines, IA 50319-0114.

5 Phone: (515) 321-7247. Email: Kansas CMP Program Manager Survey, Certification and Credentialing Commission Kansas Department for Aging and Disability Services 503 S Kansas Avenue Topeka, KS 66603. Phone: (785) 368-7055. Email: Kansas CMP Website Kentucky Kara L. Daniel Deputy Inspector General Office of Inspector General Cabinet for Health and Family Services 275 East Main St. 5E-A. Frankfort, KY 40621. Phone: (502) 564-2888 ext. 3341. Email: Kentucky CMP Website Louisiana Louisiana Department of Health 628 North 4th Street Baton Rouge, LA 70821. Email: Last updated May 2022 Page 4. State State contact Maine Larry Carbonneau Manager, Finance, Contracts, Certificate of Need, Healthcare Cooperation Division of Licensing and Certification 11 State House Station #11. 35 Anthony Avenue Augusta, ME 04333.

6 Phone: (207) 592-2940. Email: Maryland Shaliek Maxwell-West Grants Manager Office of Health Care Quality 7120 Samuel Morse Drive, Second Floor Columbia, Maryland 21046. Phone: (410) 402-8189. Email: Keith Hardesty Director of Administration Office of Health Care Quality 7120 Samuel Morse Drive, Second Floor Columbia, MD 21046. Phone: (410) 402-8009. Email: Massachusetts Dr. Katherine T. Fillo Director of Clinical Quality Improvement Bureau of Health Care Safety & Quality Massachusetts Department of Public Health 99 Chauncy Street, 11th floor Boston, MA 02111. Phone: (617) 753-7328. Email: Massachusetts CMP Website Michigan Bureau of Medicaid Policy and Health Systems Innovation Michigan Department of Health and Human Services Capitol Commons Center 400 S. Pine Street, 6th Floor Box 30479.

7 Lansing, MI 48909-7979. Email: Michigan CMP Website Last updated May 2022 Page 5. State State contact Minnesota Munna Yasiri Director, Compliance and Intergovernmental Relations Nursing Facility Rates & Policy Division Minnesota Department of Human Services Box 64973. St Paul, MN 55164-0973. Phone: (651) 431-2264. Email: Mississippi Mississippi Division of Medicaid 550 High Street, Suite 1000. Jackson, MS 39201. Email: Missouri Department of Health and Senior Services PO Box 570. Jefferson City, MO 65102-0570. Phone: (573) 526-8524. Email: Montana MT Dept. of Public Health & Human Services Email: Nebraska Medicaid & Long-Term Care Nebraska Department of Health and Human Services 301 Centennial Mall South, Box 95026. Lincoln, NE 68509. Phone: (402) 471-9678. Email: New Hampshire Kristie Holtz Bureau Chief (Supervisor VII).

8 Bureau of Licensing & Certification Health Facilities Administration 129 Pleasant Street Concord, NH 03301. Phone: (603) 271-9011. Email: Doreen Shockley Bureau Chief, Health Facilities Administration-Certification Department of Health & Human Service 129 Pleasant Street, Brown Building Concord, NH 03301-3857. Phone: (603) 271-9645. Email: Last updated May 2022 Page 6. State State contact New Jersey Health Facility Survey & Field Operations State of New Jersey Department of Health Box 367. Trenton, NJ 08625-0367. Email: New Mexico New Mexico Department of Health 2040 S Pacheco Sante Fe, NM 87505. Email: New York Division of Nursing Homes and ICF/IID Surveillance Center for Health Care Provider Services and Oversight Office of Primary Care and Health Systems Management New York State Department of Health 875 Central Avenue Albany, NY 12206.

9 Phone: (518) 408-1267. Email: Nevada Nevada Department of Health and Human Services Division of Public and Behavioral Health 727 Fairview Drive, Suite E. Carson City, NV 89701. Phone: (775) 684-1030. Email: Nevada CMP Website North Carolina North Carolina Department of Health and Human Services Nursing Home Licensure and Certification Section Raleigh, NC. Email: North Carolina CMP Website North Dakota North Dakota Department of Health Division of Health Facilities 1720 Burlington Dr Bismarck ND 58504-7736. Email: Last updated May 2022 Page 7. State State contact Ohio Bureau of Long Term Services and Supports The Ohio Department of Medicaid 50 West Town Street, Suite 400. Columbus, OH 43215. Email: Ohio CMP Website Oklahoma Oklahoma State Department of Health 123 Robert S.

10 Kerr Avenue, 12th floor, Rm 1248. Oklahoma City, OK 73102. Email: Oregon Department of Human Services, Aging and People with Disabilities Safety, Oversight and Quality Box 14530. Salem, OR 97309. E-mail: Oregon CMP Website Pennsylvania Megan Boles Supervisor - Provider Enrollment & Certification Section Department of Human Services Office of Long-Term Living Bureau of Provider Support 555 Walnut Street, Sixth Floor Harrisburg, PA 17101. Phone: (717) 772-1472. Email: Kimberly Barge Director - Division of Provider Operations Department of Human Services Office of Long-Term Living Bureau of Provider Support 555 Walnut Street, Sixth Floor Harrisburg, PA 17101. Phone: (717) 772- 2548. Last updated May 2022 Page 8. State State contact Rhode Island Sarah Harrigan Rhode Island Executive Office of Health and Human Services 3 West Road Cranston, RI 02920.


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